NPIMap

Organization Active NPI

Bethesda North Apothecary

  • Community/Retail Pharmacy
  • Cincinnati, OH
National Provider Identifier
1649365412
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020032100 Issued in OH
Legal business name
BETHESDA NORTH APOTHECARY
Practice address
10500 Montgomery Rd
Cincinnati, OH 45242
Phone
(513) 745-1184
Fax
(513) 745-1158
NPI assigned
Oct 4, 2006
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Leonard Kaes, RPH
Title
Pharmacy Manager
Phone
(513) 872-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020032100 OH Primary

Addresses

Primary practice location

10500 Montgomery Rd
Cincinnati, OH 45242

Mailing address

10500 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 745-1184

Other identifiers 3

IdentifierTypeStateIssuer
3646366OtherNCPDP
020032100OtherOHTERMINAL DISTRIBUTER NUM
2070146MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Physicians Office Lab S18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1649365412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-745-1184",
            "fax_number": "513-745-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-745-1184",
            "fax_number": "513-745-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA NORTH APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "KAES",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "513-872-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020032100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3646366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TERMINAL DISTRIBUTER NUM",
            "identifier": "020032100",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070146",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.